Drainage of mouth lesion at AHN WEXFORD HOSPITAL
12351 PERRY HIGHWAY, WEXFORD, PA · Ahn · · NPI 1588269898
$220.22
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$847.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$40.42 with Amerihealth vs $1,625.54 with Medical Mutual — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $40.42 | ↓ -82% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $40.42 | ↓ -82% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $50.82 | ↓ -77% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $53.13 | ↓ -76% |
| Geisinger | Geisinger Medicaid HC | $55.83 | ↓ -75% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $55.83 | ↓ -75% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $55.83 | ↓ -75% |
| United Healthcare | United Healthcare Medicaid | $55.83 | ↓ -75% |
| Geisinger | Geisinger CHIP | $55.83 | ↓ -75% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $57.75 | ↓ -74% |
| Amerihealth | Amerihealth Medicaid HC | $63.53 | ↓ -71% |
| Amerihealth | Amerihealth Medicaid CHC | $63.53 | ↓ -71% |
| Highmark | Highmark Community Blue Medicare | $262.62 | ↑ +19% |
| Highmark | Highmark Together Blue | $279.88 | ↑ +27% |
| Life Pittsburgh | Life Pittsburgh Medicare | $282.39 | ↑ +28% |
| Highmark | Highmark Security Blue | $290.86 | ↑ +32% |
| Devoted Medicare | Devoted Health Medicare Advantage | $299.33 | ↑ +36% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $299.33 | ↑ +36% |
| American Health Plans | American Health Plans Medicare | $310.63 | ↑ +41% |
| Highmark | Highmark Social Mission Managed Care | $337.44 | ↑ +53% |
| Highmark | Highmark Blue High Performance | $337.44 | ↑ +53% |
| Highmark | Highmark Community Blue | $337.44 | ↑ +53% |
| Highmark | Highmark Connect Blue | $337.44 | ↑ +53% |
| Highmark | Highmark Indemnity | $337.44 | ↑ +53% |
| Highmark | Highmark Managed Care | $337.44 | ↑ +53% |
| Highmark | Highmark My Blue Access | $337.44 | ↑ +53% |
| Highmark | Highmark My Direct Blue | $337.44 | ↑ +53% |
| Highmark | Highmark Performance Blue | $337.44 | ↑ +53% |
| Highmark | Highmark Social Mission Indemnity | $337.44 | ↑ +53% |
| Highmark | Highmark Community Blue Medicare PPO | $450.72 | ↑ +105% |
| Highmark | Highmark Complete Blue Medicare | $450.72 | ↑ +105% |
| Highmark | Highmark Freedom Blue | $455.62 | ↑ +107% |
| Cigna | Cigna Commercial | $473.30 | ↑ +115% |
| Martin's Point | Martin's Point | $489.91 | ↑ +122% |
| Aetna | Aetna Medicare | $509.51 | ↑ +131% |
| Highmark | Highmark Together Blue Medicare | $509.51 | ↑ +131% |
| Highmark | Highmark Community Blue Medicare HMO | $509.51 | ↑ +131% |
| United Healthcare | United Healthcare Medicare | $509.51 | ↑ +131% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $519.30 | ↑ +136% |
| Humana | Humana Commercial | $519.30 | ↑ +136% |
| United Healthcare | United Healthcare Medicare I-SNP | $524.20 | ↑ +138% |
| Cigna | Cigna Medicare | $524.20 | ↑ +138% |
| United Healthcare | United Healthcare Medicare D-SNP | $529.10 | ↑ +140% |
| Molina | Molina Ohio | $534.00 | ↑ +142% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $561.73 | ↑ +155% |
| United Healthcare | United Healthcare Commercial | $592.23 | ↑ +169% |
| United Healthcare | United Healthcare Of OH Medicaid | $592.23 | ↑ +169% |
| Highmark | Highmark Performance Blue Enhanced | $799.14 | ↑ +263% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +464% |
| Aetna | Aetna Commercial | $1,489.32 | ↑ +576% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $1,625.54 | ↑ +638% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| GROVE CITY HOSPITAL | GROVE CITY | $194.81 | $22.01 – $1,394.99 |
| UPMC Cole | Coudersport | $424.80 | $40.42 – $771.51 |